Which hospitals participate in community building? What medical anchors spend on community economic development
Which hospitals participate in community building? What medical anchors spend on community economic development
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DOI：
10.1080/07352166.2018.1559649
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发表时间：
2019-10-03
影响因子：
2.1
通讯作者：
Doussard, Marc
中科院分区：
文献类型：
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作者：
Sherman, Stephen Averill;Doussard, Marc
地方锚机构为社区和经济发展提供了独特的资源和机构能力。因此，这些？兴奋剂和药物吗在社区经济发展研究和实践中发挥着越来越重要的作用。对锚钉的积极评价？然而，所提供的资料仍然限于对拥有广泛资源的专科医院和大学进行的单一地点个案研究。为了加深对锚点的研究，我们使用了由于最近美国医疗保健政策变化而获得的新数据来测试医院的影响。社区经济发展支出的服务任务和收入来源。我们确定了4种基本类型的医院：大型综合医院、专科医院、社区连续护理医院和区域连续护理医院。我们的统计测试表明，锚机构活动？作为社区经济发展支出投入使用？主要来自教学密集型的大型医院。医院的特点，而不是城市的社会经济背景，提供了最强的预测社区经济发展支出。这些结果表明，一个较窄的范围内的城市医院执行社区经济发展。然而，我们发现在一个城市（巴尔的摩，马里兰州）大量的医院投入了大量的社区经济发展。最后我们调查了那个城市？是什么？锚计划？政策，这似乎已经成功地引导投资从其锚定医院。
Place-bound anchor institutions provide unique resources and institutional capacity to community and economic development. As such, these ?eds and meds? play an increasingly important role in community economic development research and practice. Positive assessments of anchors? contributions, however, remain limited to single-site case studies of specialty hospitals and universities with extensive resources. To deepen inquiry into anchors, we use new data, available due to recent U.S. health care policy changes, to test the impact of hospitals? service missions and revenue sources on community economic development spending. We identify 4 basic types of hospitals: large comprehensive, specialty, neighborhood continuum of care, and regional continuum of care. Our statistical tests suggest that anchor institution activity?operationalized as community economic development spending?arises predominantly from larger, teaching-intensive hospitals. Hospital characteristics, rather than urban socioeconomic context, provide the strongest predictors of community economic development spending. These results suggest that a narrower range of urban hospitals performs community economic development. However, we discover a significant amount of hospitals in one city (Baltimore, Maryland) invested heavily in community economic development. We conclude by investigating that city?s ?anchor plan? policy, which appears to have successfully channeled investment from its anchoring hospitals.